DSTC Alumni Survey

Drake State Technical College
ALUMNI AND FRIENDS ASSOCIATION SURVEY

A. DEMOGRAPHIC INFORMATION
1. Name
First Name
Last Name
Your last name while at DSTC, if different
Preferred First Name
2. Contact Information
Address1
Address2
City
State
Zip
Home Phone No.
Work Phone No.
Home E-Mail
Work E-Mail
3. Where do you prefer to be contacted? Home Work
3a. How do you prefer to be contacted? Phone E-Mail
4. Birth Date
mm/dd/yyyy Month Day Year
5. Marital Status Single Married/Partnered Widowed Separated Divorced
6. Children
How many children do you have?
What Ages?
7. Based on your experience at DSTC, would you encourage someone to attend the College? Yes No
B. PROFESSIONAL INFORMATION
8. Employment
Occupation
Title
Employer's Name
Employer's Address
Field of Work
Phone Number
C. ACADEMIC INFORMATION
9. When you enrolled at DSTC, did you intend to earn a certificate/diploma/degree from the College? Yes No Uncertain
10. Did you transfer to another College or University? Yes, please specify transfer institution No
11. While at DSTC, did you earn a..(Select all that apply) Associate Degree Diploma Certificate N/A (Transferred, Non-Credit Courses, etc.)
12. What year did you graduate and/or what was the last semester and year that you attended DSTC?
13. If a Degree/Diploma/Certification was earned at another institution, list below, along with the institution from which earned.